If you would like to carry Artisan Impact jewelry, we’'d like to get to know you. Please fill out the forms on this page and we will contact you shortly. Under no circumstances do we share existing or potential client information. Thank you for your interest.

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Contact Information:

Contact Name*

Phone # (please include area code)*

E-mail Address *

Store Contact/Shipping Information:

Store Name*

Store Address

Street Line 1*

Street Line 2

City*

Prov/State*

Zip/Postal*

Country*

Store Phone #*

Store Fax #

Store Information:

Store trade name*

Store Website

Number of years in business*

Best selling jewelry price point*

What percentage of your business is jewelry?*

Name of the neighbourhood in which your store is located?

Please list 3 brands or jewelry designers you currently carry in stock: